Evidence map›Paper›PMID 40048220›Full record

ArticleCultural diversity & ethnic minority psychology2026

The role of stress, perceived discrimination, and skin tone on cognitive performance in Puerto Rican adults.

Michelle N Martinez, Elijah R Murphy, Matthew W Gallagher, Steven P Woods, Paola Arboleda-Rios, Luis M Falcón, Luis D Medina

Abstract read
In one paragraph

Article in Cultural diversity & ethnic minority psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. "To Be Twice as Good to Get Half": Minorities' Diminished Returns.Journal of biomedical and life sciences · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Michelle N MartinezDepartment of Psychology, University of Houston.ORCID 0000-0001-8684-5642
Elijah R MurphyDepartment of Psychology, University of Houston.ORCID 0000-0002-9892-9891
Matthew W GallagherDepartment of Psychology, University of Houston.ORCID 0000-0001-9734-9329
Steven P WoodsDepartment of Psychology, University of Houston.ORCID 0000-0003-0776-4233
Paola Arboleda-RiosDepartment of Hispanic and Latin American Studies, University of Houston.
Luis M FalcónCenter for Population Health, College of Fine Arts, Humanities and Social Sciences, University of Massachusetts Lowell.ORCID 0000-0002-2476-5046
Luis D MedinaDepartment of Psychology, University of Houston.ORCID 0000-0001-8163-7772

Funding

STATISTICSP50HL105185 · NHLBI · UNIVERSITY OF MASSACHUSETTS LOWELL · PI ORDOVAS, JOSE M. · 2010 to 2015
$10.4M
Center for Research/Nutrition &Health among the ElderlyP01AG023394 · NIA · TUFTS UNIVERSITY BOSTON · PI TUCKER, KATHERINE L · 2003 to 2007
$8.1M
Dietary Quality, Cognitive Decline and Brain Health in Puerto Rican AdultsR01AG055948 · NIA · UNIVERSITY OF MASSACHUSETTS LOWELL · PI TUCKER, KATHERINE L · 2017 to 2021
$4.2M
The Engaging Communities of Hispanics for Aging Research (ECHAR) NetworkR24AG065170 · NIA · UNIVERSITY OF HOUSTON · PI MEDINA, LUIS D · 2020 to 2022
$2.5M
Alzheimer's AssociationNational Institutes of Health; National Institute on AgingNHLBI NIH HHS P50 HL105185NIA NIH HHS P01 AG023394NIA NIH HHS R01 AG055948NIA NIH HHS R24 AG065170
6 · The paper itself

Abstract

objectivesThis study aimed to examine the associations between cognition, skin tone, and stress in a heterogeneous sample of Puerto Rican adults.

methodParticipants included 1,502 Puerto Ricans from the first wave of the Boston Puerto Rican Health Study. Structural equation modeling was used to analyze the associations between skin tone groups, stressful life events (i.e., perceived discrimination and number of adverse life events), perceived stress, allostatic load, and cognition.

resultsThe model fit examining the relationship between stress and cognition was excellent even after introducing covariates. When considering skin tone, model fit was also acceptable. Greater allostatic load predicted lower levels of cognition in the overall sample and in individuals with darker skin tones. Higher levels of perceived stress predicted lower levels of cognition in the overall sample and all skin tone groups except in individuals with white skin tones. Stressful events significantly predicted cognition in the overall sample.

conclusionsResults provide evidence of an interaction in which the relationship between stress and cognition differs across skin tone groups, even within an ethnic group. This suggests a modifying role of intersecting identities (e.g., ethnicity by skin tone) in understanding health outcomes. Additional research with a robust, diverse sample of Hispanic/Latin Americans is needed to continue examining the heterogeneity of heritage groups across various health outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

CognitionHispanic or LatinoSkin PigmentationStress, PsychologicalAdultAgedAllostasisBostonFemaleHumansMaleMiddle AgedPuerto RicoWhite

Identifiers

PMID40048220
PMCPMC12353470

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.